Complexity in Graduate Medical Education: A Collaborative Education Agenda for Internal Medicine and Geriatric Medicine

Internal medicine residents today face significant challenges in caring for an increasingly complex patient population within ever-changing education and health care environments. As a result, medical educators, health care system leaders, payers, and patients are demanding change and accountability in graduate medical education (GME). A 2012 Society of General Internal Medicine (SGIM) retreat identified medical education as an area for collaboration between internal medicine and geriatric medicine. The authors first determined a short-term research agenda for resident education by mapping selected internal medicine reporting milestones to geriatrics competencies, and listing available sample learner assessment tools. Next, the authors proposed a strategy for long-term collaboration in three priority areas in clinical medicine that are challenging for residents today: (1) team-based care, (2) transitions and readmissions, and (3) multi-morbidity. The short-term agenda focuses on learner assessment, while the long-term agenda allows for program evaluation and improvement. This model of collaboration in medical education combines the resources and expertise of internal medicine and geriatric medicine educators with the goal of increasing innovation and improving outcomes in GME targeting the needs of our residents and their patients.     

Politics and Graduate Medical Education in Internal Medicine: A Dynamic Landscape

The promotion of change and growth within medical education is oftentimes the result of a complex mix of societal, cultural and economic forces. Graduate medical education in internal medicine is not immune to these forces. Several entities and organizations can be identified as having a major influence on internal medicine training and graduate medical education as a whole. We have reviewed how this is effectively accomplished through these entities and organizations. The result is a constantly changing and dynamic landscape for internal medicine training.     

Continuing Medical Education: May 2007

If you wish to receive credit for this activity, please refer to the website: http://www.acg.gi.org/journalcme/
Accreditation and Designation Statement: Blackwell Futura Media Services designates this educational activity for a maximum of 1 category 1 credit toward the AMA Physician's Recognition Award™. Each physician should claim only those credits that he/she actually spent in the activity. Blackwell Futura Media Services is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Article Title: Impact of Etiology of Cirrhosis on the Survival of Patients Diagnosed With Hepatocellular Carcinoma During Surveillance     

Continuing Medical Education: November 2007

Surveillance for Early Diagnosis of Hepatocellular Carcinoma: Is It Effective in Intermediate/Advanced Cirrhosis?
Accreditation and Designation Statement: Blackwell Futura Media Services designates this educational activity for a maximum of 1 category 1 credit toward the AMA Physician's Recognition Award™. Each physician should claim only those credits that he/she actually spent in the activity.
Blackwell Futura Media Services is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.     

Continuing Medical Education: December 2007

Methotrexate Following Unsuccessful Thiopurine Therapy in Pediatric Crohn's Disease
Accreditation and Designation Statement: Blackwell Futura Media Services designates this educational activity for a maximum of 1 category 1 credit toward the AMA Physician's Recognition Award™. Each physician should claim only those credits that he/she actually spent in the activity.
Blackwell Futura Media Services is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.     

Continuing Medical Education: August 2006

If you wish to receive credit for this activity, please refer to the website: http://www.acg.gi.org/journalcme/
Accreditation and Designation Statement: Blackwell Futura Media Services designates this educational activity for a maximum of 1 category 1 credit toward the AMA Physician's Recognition Award™. Each physician should claim only those credits that he/she actually spent in the activity. Blackwell Futura Media Services is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Article: Postinfectious Irritable Bowel Syndrome–A Meta-analysis     

Continuing Medical Education: January 2007

If you wish to receive credit for this activity, please refer to the website: http://www.acg.gi.org/journalcme/
Accreditation and Designation Statement: Blackwell Futura Media Services designates this educational activity for a maximum of 1 category 1 credit toward the AMA Physician's Recognition Award™. Each physician should claim only those credits that he/she actually spent in the activity. Blackwell Futura Media Services is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Article Title: Inflammation and Coagulation in Inflammatory Bowel Disease: The Clot Thickens     

Continuing Medical Education: April 2008

The Incidence of Cyclic Vomiting Syndrome in Children: Population-Based Study
Accreditation and Designation Statement: Blackwell Futura Media Services designates this educational activity for a maximum of 1 category 1 credit toward the AMA Physician's Recognition Award^TM. Each physician should claim only those credits that he/she actually spent in the activity.
Blackwell Futura Media Services is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.     

Continuing Medical Education: February 2007

If you wish to receive credit for this activity, please refer to the website: http://www.acg.gi.org/journalcme/
Accreditation and Designation Statement: Blackwell Futura Media Services designates this educational activity for a maximum of 1 category 1 credit toward the AMA Physician's Recognition Award™. Each physician should claim only those credits that he/she actually spent in the activity. Blackwell Futura Media Services is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Article Title: Does Enteral Nutrition Affect Clinical Outcome? A Systematic Review of the Randomized Trials     

Continuing Medical Education: September 2007

Oral Refeeding After Onset of Acute Pancreatitis: A Review of the Literature Accreditation and Designation Statement: Blackwell Futura Media Services designates this educational activity for a maximum of 1 category 1 credit toward the AMA Physician/s Recognition Award™. Each physician should claim only those credits that he/she actually spent in the activity.
Blackwell Futura Media Services is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.     

Continuing Medical Education: April 2007

If you wish to receive credit for this activity, please refer to the website: http://www.acg.gi.org/journalcme/
Accreditation and Designation Statement: Blackwell Futura Media Services designates this educational activity for a maximum of 1 category 1 credit toward the AMA Physician's Recognition Award™. Each physician should claim only those credits that he/she actually spent in the activity. Blackwell Futura Media Services is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Article Title: Treatment of Chronic Hepatitis C Virus in African Americans With Genotypes 2 and 3     

Continuing Medical Education: October 2006

If you wish to receive credit for this activity, please refer to the website: http://www.acg.gi.org/journalcme/
Accreditation and Designation Statement: Blackwell Futura Media Services designates this educational activity for a maximum of 1 category 1 credit toward the AMA Physician's Recognition Award™. Each physician should claim only those credits that he/she actually spent in the activity. Blackwell Futura Media Services is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Article: Risk Factors for Gallstone-Related Hospitalization During Pregnancy and the Postpartum     

Continuing Medical Education: July 2006

If you wish to receive credit for this activity, please refer to the website: http://www.acg.gi.org/journalcme/
Accreditation and Designation Statement: Blackwell Futura Media Services designates this educational activity for a maximum of 1 category 1 credit toward the AMA Physician's Recognition Award™. Each physician should claim only those credits that he/she actually spent in the activity. Blackwell Futura Media Services is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Article: Candidates for Intestinal Transplantation: A Multicenter Survey in Europe     

Continuing Medical Education: July 2008

Predictive Factors of Mortality From Nonvariceal Upper Gastrointestinal Hemorrhage: A Multicenter Study
Accreditation and Designation Statement: Blackwell Futura Media Services designates this educational activity for a maximum of 1 category 1 credit toward the AMA Physician's Recognition Award™. Each physician should claim only those credits that he/she actually spent in the activity.
Blackwell Futura Media Services is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.     

Continuing Medical Education: May 2008

Irritable Bowel Syndrome: A 10-year Natural History of Symptoms, and Factors That Influence Consultation Behavior
Accreditation and Designation Statement: Blackwell Futura Media Services designates this educational activity for a maximum of 1 category 1 credit toward the AMA Physician's Recognition Award™. Each physician should claim only those credits that he/she actually spent in the activity.
Blackwell Futura Media Services is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.     

Continuing Medical Education: February 2008

Long-term Outcomes after Laparoscopic Antireflux Surgery
Accreditation and Designation Statement: Blackwell Futura Media Services designates this educational activity for a maximum of 1 category 1 credit toward the AMA Physician's Recognition Award™. Each physician should claim only those credits that he/she actually spent in the activity.
Blackwell Futura Media Services is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.     

Continuing Medical Education: July 2007

If you wish to receive credit for this activity, please refer to the Web site: http://www.acg.gi.org/journalcme/
Accreditation and Designation Statement: Blackwell Futura Media Services designates this educational activity for a maximum of 1 category 1 credit toward the AMA Physician's Recognition Award™. Each physician should claim only those credits that he/she actually spent in the activity. Blackwell Futura Media Services is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Article Title: The Effects of the Number of Rubber Bands Placed at Each Endoscopic Session Upon Variceal Outcomes: A Prospective, Randomized Study